Healthcare Provider Details

I. General information

NPI: 1346336260
Provider Name (Legal Business Name): YURI JOSE RAMOS MD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/05/2006
Last Update Date: 03/24/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

777 E 25TH ST 214
HIALEAH FL
33013-3825
US

IV. Provider business mailing address

19500 W OAKMONT DR
HIALEAH FL
33015-2031
US

V. Phone/Fax

Practice location:
  • Phone: 786-281-1253
  • Fax: 305-836-7101
Mailing address:
  • Phone: 305-816-2070
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberME96924
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: